# RELIAPATH LLC, A PROFESSIONAL MEDICAL LIMITED LIABILITY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811187529
- **Authorized official:** LISA D ALTMANN M.D. (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (337) 365-5944

## Contact information

- **Practice address:** 1810 BERTRAND DR, LAFAYETTE, LA 70506-2055
- **Practice address phone:** (337) 233-1899
- **Practice address fax:** (337) 233-1923
- **Mailing address:** 1810 BERTRAND DR, LAFAYETTE, LA 70506-2055
- **Mailing address phone:** (337) 233-1899
- **Mailing address fax:** (337) 233-1923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2007
- **Last updated:** 02/16/2011
